{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:48:38Z","timestamp":1772160518705,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T00:00:00Z","timestamp":1630627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Magnetic resonance imaging (MRI) is often used in practice to investigate for cord or discoligamentous injury following blunt trauma and a normal computed tomography (CT). This study investigates the MRI findings and surgical outcomes of patients in this cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of patients following trauma with suspected cervical spine injury from 2016 to 2019. Inclusion criteria included patients receiving a normal CT of the cervical spine and subsequent MRI due to cervical spine injury symptomatology (persistent tenderness and\/or neurology). Inclusion criteria included: age \u226516 years, alert and &lt;72\u2009h from CT to MRI. Mann\u2013Whitney and \u03c7<jats:sup>2<\/jats:sup> statistical analysis techniques were employed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and twenty\u2010eight patients with persistent midline tenderness and\/or persistent neurology following blunt trauma and negative CT report were included. One hundred and eighty\u2010one patients received an MRI for persistent tenderness of which 35 revealed abnormal MRI findings. Twenty\u2010one cases required no treatment, 14 cases were treated with a rigid collar with no patients requiring operative management. Forty\u2010seven patients received an MRI for neurological symptoms following blunt trauma and negative CT, with 11 abnormal MRI findings. Management included no treatment (three cases), application of rigid collar (six cases) and operative management (two cases).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>No alert neurologically intact patient with \u2018persistent tenderness only\u2019 received operative management following a normal CT examination. While MRI is sensitive for detecting soft tissue injuries, the prevalence for detecting clinically significant cervical spine injury in blunt trauma patients in the absence of neurology is low. The utility of MRI in this cohort is questionable considering prolonged spinal immobilisation is not without harm.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13842","type":"journal-article","created":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T06:40:57Z","timestamp":1630737657000},"page":"65-72","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Magnetic resonance imaging cervical spine in trauma: A retrospective single\u2010centre audit of patient outcomes"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8081-2655","authenticated-orcid":false,"given":"Grant","family":"Foster","sequence":"first","affiliation":[{"name":"Radiology Department University Hospital Geelong, Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte","family":"Russell","sequence":"additional","affiliation":[{"name":"Radiology Department University Hospital Geelong, Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda","family":"Hibble","sequence":"additional","affiliation":[{"name":"Emergency Department University Hospital Geelong, Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Shaw","sequence":"additional","affiliation":[{"name":"Radiology Department University Hospital Geelong, Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Stella","sequence":"additional","affiliation":[{"name":"Emergency Department University Hospital Geelong, Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B4.34328"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181ae583b"},{"key":"e_1_2_8_4_1","first-page":"4","article-title":"Utility of MRI in blunt trauma patients with a normal cervical spine CT and persistent midline neck pain on palpation","volume":"1","author":"DeMuro JP","year":"2013","journal-title":"Glob. 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